54.83.122.65
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>0</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>07/13/2015</StartDate>
  <EndDate>07/16/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Michael</Firstname>
    <Middlename/>
    <Lastname>Salfi</Lastname>
    <Age>37</Age>
    <Dob>08/19/1977</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Sage</Firstname>
    <Middlename/>
    <Lastname>Salfi</Lastname>
    <Age>12</Age>
    <Dob>08/17/2002</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>07/13/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>272 York Road</Address1>
      <Address2></Address2>
      <Country>Canada</Country>
      <State>Ontario</State>
      <City>Guelph</City>
      <Postcode>N1E 3G5</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>patchworksfarm@hotmail.com</Email>
    <Phone>
      <Home>15198205406</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>Isobelle Morrison</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Mother</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5243371300801553</CreditcardNumber>
      <NameonCreditcard>Michael  Salfi</NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>33.88</CreditcardAmount>
      <CreditcardCodeNumber>005</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
d012ef8c
0d8011a5
ARS-02-0021914
ARS-02-0021915
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0021914</PolicyNumber><UserName>d012ef8c</UserName><Password>d012ef8c</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-02-0021915</PolicyNumber><UserName>0d8011a5</UserName><Password>0d8011a5</Password></PolicyDetails></RegistrationRes>